MACS Full-Time Remote Learning Survey
This form is for parents requesting full time "remote" learning for the 2020-21 school year.
Your Child's First Name
Your Child's Last Name
Your Child's Grade for the 2020-21 School year
Your Child's School ID Number. If you do not know this number you can skip this question.
Parent's Full Name
Parent's Phone Number
Will your child need breakfast and/ or lunch provided during their remote school days?
Once submitted your child will attend school remotely only. If you wish to change this choice later, email
I understand this statement.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Merrick Academy Charter School.